Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $102.73 / $102.73	Facility		$70.50	$102.73	$102.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $102.73 / $106.80	Professional		$101.72	$102.73	$106.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $152.58	Facility		$101.72	$101.72	$152.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $235.84	Professional		$101.72	$101.72	$235.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $229.98 / $229.98	Facility		$95.96	$229.98	$229.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $293.52	Professional		$101.72	$101.72	$293.52